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Formulas

Indomethacin 2 mg/mL Oral Syrup

Indomethacin 2 mg/mL Oral Syrup is a concentrated liquid formulation designed for oral administration. It contains active ingredients and sweeteners, providing a palatable and easy-to-administer dosage form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules.

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) used to treat various conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and acute gouty arthritis. It helps reduce inflammation, pain, and stiffness associated with these disease states, improving patient comfort and mobility.

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Indomethacin
Oral Syrup
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Formula Information

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Indomethacin 2 mg/mL Oral Syrup is a non-steroidal anti-inflammatory drug (NSAID) formulated as a concentrated liquid for oral administration. This palatable syrup is designed to provide an easy-to-administer dosage form, particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as pediatric patients or those with certain medical conditions.

Indomethacin works by inhibiting the production of prostaglandins, substances in the body that mediate inflammation and pain. By reducing prostaglandin synthesis, Indomethacin effectively alleviates symptoms associated with various inflammatory conditions. This mechanism of action makes it useful in treating conditions like rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gouty arthritis, and acute bursitis or tendinitis of the shoulder.

The oral syrup formulation allows for precise dosing adjustments tailored to individual patient needs. This is especially important in pediatric care, where dosing often requires careful calculation based on body weight. The syrup's sweeteners improve taste, enhancing compliance among patients who may be sensitive to the taste of medication, ensuring they receive the full therapeutic benefits of Indomethacin.

Patients prescribed Indomethacin Oral Syrup should follow their healthcare provider's instructions carefully. It's important to use the measuring device provided to ensure accurate dosing, as improper dosing can lead to suboptimal treatment outcomes or increased risk of side effects. The convenience of a liquid formulation may also aid in maintaining consistent dosing schedules, which is crucial for managing chronic conditions.

While Indomethacin is effective in reducing inflammation and pain, it may cause side effects in some patients. Common side effects include gastrointestinal discomfort, nausea, headache, dizziness, and potential gastrointestinal bleeding. Patients should be monitored for signs of adverse reactions, and any unusual symptoms should be reported to a healthcare provider promptly. Long-term use may require periodic evaluation of kidney and liver function, as well as blood counts.

Healthcare providers should assess the risk-benefit profile for each patient before prescribing Indomethacin, considering factors such as the patient's medical history, concurrent medications, and potential for drug interactions. Indomethacin may not be suitable for patients with a history of ulcers, bleeding disorders, severe heart, kidney, or liver disease, or those who have had allergic reactions to other NSAIDs.

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Drug Interactions

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Indomethacin 2 mg/mL Oral Syrup is a nonsteroidal anti-inflammatory drug (NSAID) used to treat various conditions such as arthritis, gout, and other inflammatory disorders. It works by reducing hormones that cause inflammation and pain in the body. While this formulation is particularly beneficial for pediatric patients or those who have difficulty swallowing tablets or capsules, it is important to be aware of potential drug interactions that may affect its efficacy and safety.

Patients and prescribers should be aware that indomethacin can interact with a variety of medications. Concomitant use of indomethacin with other NSAIDs, including aspirin, may increase the risk of gastrointestinal bleeding and ulceration. It is generally advised to avoid using multiple NSAIDs simultaneously unless specifically directed by a healthcare provider.

Indomethacin may also interact with anticoagulants such as warfarin, increasing the risk of bleeding. Patients on anticoagulant therapy should be closely monitored, and dose adjustments may be necessary. Additionally, indomethacin can reduce the effectiveness of antihypertensive medications, including ACE inhibitors, angiotensin II receptor blockers (ARBs), beta-blockers, and diuretics. Monitoring blood pressure and adjusting antihypertensive therapy may be required.

Concomitant use of indomethacin with lithium can lead to increased lithium levels and potential toxicity. Patients taking lithium should have their serum lithium levels monitored regularly, and dose adjustments may be necessary. Indomethacin may also increase the nephrotoxic effects of cyclosporine and tacrolimus, necessitating careful monitoring of renal function in patients receiving these immunosuppressants.

Patients taking methotrexate should be aware that indomethacin can increase methotrexate levels, potentially leading to toxicity. Monitoring methotrexate levels and renal function is recommended when these drugs are used together. Additionally, indomethacin may interact with selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), increasing the risk of bleeding. Caution is advised when these medications are used concurrently.

It is important for patients to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to assess potential interactions. Prescribers should carefully evaluate the patient's medication regimen and consider alternative therapies or additional monitoring as needed to minimize the risk of adverse interactions.

If you have any questions or concerns about drug interactions with Indomethacin 2 mg/mL Oral Syrup, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries you may have.

How Does it Work

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Indomethacin 2 mg/mL Oral Syrup is a specially compounded liquid formulation designed to deliver the nonsteroidal anti-inflammatory drug (NSAID) indomethacin in a palatable and easy-to-administer form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules, ensuring that they receive the necessary medication in a manner that is both effective and convenient. The syrup is carefully crafted to maintain the stability and efficacy of indomethacin while incorporating sweeteners to enhance its taste, making it more acceptable for patients who may be sensitive to the bitterness of traditional NSAID formulations.

Indomethacin works by inhibiting the production of prostaglandins, which are chemical messengers responsible for promoting inflammation, pain, and fever in the body. By blocking the enzyme cyclooxygenase (COX), indomethacin reduces the synthesis of these prostaglandins, thereby alleviating symptoms associated with various inflammatory conditions. This mechanism of action makes indomethacin an effective treatment option for conditions such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and acute gouty arthritis, among others. The oral syrup formulation allows for precise dosing, which is crucial in managing these conditions, especially in populations requiring tailored dosages, such as children or those with specific medical needs.

For prescribers, the indomethacin 2 mg/mL Oral Syrup offers a flexible dosing option that can be easily adjusted based on the patient's age, weight, and specific therapeutic requirements. This flexibility is particularly important in pediatric care, where dosing precision is critical to ensure both efficacy and safety. The liquid form also facilitates easier administration, reducing the risk of non-compliance due to difficulties in swallowing or aversion to medication taste. Additionally, the syrup's formulation is designed to minimize gastrointestinal irritation, a common side effect associated with NSAIDs, by allowing for a more controlled release and absorption of the active ingredient.

Patients and caregivers will find the indomethacin oral syrup to be a user-friendly option that simplifies the medication administration process. The sweetened formulation not only improves palatability but also encourages adherence to prescribed treatment regimens, which is essential for achieving optimal therapeutic outcomes. As with any medication, it is important to follow the prescribed dosing instructions and consult with healthcare providers regarding any concerns or questions about the treatment. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Other Uses

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Indomethacin 2 mg/mL Oral Syrup is primarily used for its anti-inflammatory and analgesic properties, often prescribed for conditions such as rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. However, this formulation can also be considered for other uses beyond these traditional indications. One potential application is in the management of patent ductus arteriosus (PDA) in premature infants. Indomethacin has been used to promote the closure of the ductus arteriosus, a blood vessel that is essential for fetal circulation but should close shortly after birth. In cases where it remains open, indomethacin can be an effective treatment option.

Additionally, indomethacin may be utilized in the treatment of acute gouty arthritis, where its potent anti-inflammatory effects can help alleviate the intense pain and swelling associated with gout attacks. For patients with dysmenorrhea, indomethacin can provide relief from menstrual cramps by reducing the production of prostaglandins, which are responsible for uterine contractions and pain. Furthermore, indomethacin has been explored in the management of certain types of headaches, including migraines and cluster headaches, due to its ability to reduce inflammation and modulate pain pathways.

For prescribers, the oral syrup formulation offers a versatile and patient-friendly option, particularly for pediatric patients or those who have difficulty swallowing pills. The liquid form allows for precise dosing adjustments, which can be crucial in tailoring treatment to individual patient needs, especially in populations with varying metabolic rates or sensitivities to medication. The sweetened syrup also enhances palatability, improving adherence to the prescribed regimen.

Patients and caregivers should be aware of the potential side effects of indomethacin, which can include gastrointestinal discomfort, dizziness, and, in rare cases, more serious cardiovascular or renal issues. It is important to use this medication under the guidance of a healthcare professional, who can monitor for adverse effects and adjust the dosage as necessary. If you have any questions or need further information about the use of Indomethacin 2 mg/mL Oral Syrup, please reach out to us at Bayview Pharmacy. We are here to assist both patients and healthcare providers in optimizing therapeutic outcomes.

Frequently Asked Questions

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What is Indomethacin 2 mg/mL Oral Syrup?

Indomethacin 2 mg/mL Oral Syrup is a concentrated liquid formulation containing the active ingredient indomethacin, along with sweeteners, designed for oral administration. It provides a palatable and easy-to-administer dosage form, especially useful for pediatric patients or those who have difficulty swallowing tablets or capsules.

Who can benefit from using Indomethacin Oral Syrup?

This oral syrup is particularly beneficial for pediatric patients and individuals who have difficulty swallowing tablets or capsules, such as elderly patients or those with certain medical conditions.

How should Indomethacin Oral Syrup be stored?

Indomethacin Oral Syrup should be stored at room temperature, away from direct sunlight and moisture. It should be kept out of reach of children and should not be frozen.

What is the recommended dosage for Indomethacin Oral Syrup?

The recommended dosage of Indomethacin Oral Syrup varies depending on the patient's age, weight, and medical condition. It is important to follow the healthcare provider's instructions or the prescription label for the correct dosage.

Can Indomethacin Oral Syrup be mixed with food or drinks?

Indomethacin Oral Syrup can be taken with or without food. However, it is advisable to follow the healthcare provider's instructions regarding its administration with food or drinks to ensure optimal absorption and effectiveness.

Are there any side effects associated with Indomethacin Oral Syrup?

Like all medications, Indomethacin Oral Syrup may cause side effects. Common side effects include gastrointestinal discomfort, headache, dizziness, and nausea. If any severe or persistent side effects occur, it is important to contact a healthcare provider immediately.

Is Indomethacin Oral Syrup safe for long-term use?

The safety of long-term use of Indomethacin Oral Syrup depends on the individual's medical condition and response to treatment. It is important to have regular check-ups with a healthcare provider to monitor its effectiveness and any potential side effects.

Can Indomethacin Oral Syrup be used in combination with other medications?

Indomethacin Oral Syrup may interact with other medications. It is crucial to inform the healthcare provider of all medications, supplements, and herbal products being taken to avoid potential interactions and ensure safe use.

What should I do if I miss a dose of Indomethacin Oral Syrup?

If a dose of Indomethacin Oral Syrup is missed, it should be taken as soon as remembered. If it is close to the time for the next dose, skip the missed dose and resume the regular dosing schedule. Do not double the dose to catch up.

How does Indomethacin Oral Syrup work?

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing inflammation, pain, and fever. It inhibits the production of certain chemicals in the body that cause inflammation and pain.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.